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New Jersey rates for HCPCS L3540

Orthopedic shoe addition, sole, full

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.38 / $20.38 / $20.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.38 / $26.05 / $32.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.72 / $36.72 / $59.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.81 / $26.81 / $52.40
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.68 / $55.05 / $78.39
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.99 / $27.99 / $39.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.81 / $29.86 / $59.84